• 제목/요약/키워드: Noncompliance

검색결과 60건 처리시간 0.032초

항우울제의 복약 순응도 (Treatment Compliance of Antidepressants)

  • 이문수;고영훈;조숙행
    • 생물정신의학
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    • 제17권1호
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    • pp.5-14
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    • 2010
  • Depressive disorder is a chronic disabling condition with recurrent episodes. Medication noncompliance is a significant problem for effective management of depressive disorder. However, compliance with antidepressant medication is poor. There are difficulties in assessing compliance accurately. Various methods for assessing compliance are in use. A patient's compliance with antidepressant may be affected by many factors including the clinical characteristics of depression, pharmacologic properties of antidepressants, patients' characteristics, accessibility treatment, and doctor-patient relationships. For enhancing the treatment compliance, psychotherapeutic considerations in patient-therapist relationship are needed.

Iron succinyl casein encapsulated alginate beads for the treatment of iron deficiency anemia

  • Ko, Hye-Ran;Oungbho Kwunchit;Park, Jeong-Sook;Kim, Chong-Kook
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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    • pp.247.1-247.1
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    • 2003
  • Iron deficiency is the most common nutritional problem worldwide. Oral iron supplementation programs have failed because of noncompliance and gastrointestinal toxicity. The purpose of this study was to explore the possibility of alginate gel bead as an oral controlled release system of iron supplements and increase the stability of iron succinyl casein (ISC). Alginate beads containing ISC were prepared by the gelation of sodium alginate with calcium cations. The release profiles of ISC were investigated according to the concentration of polymer, the drug/sodium alginate ratio, the concentration and type of cation, curing time and pH of calcium chloride solution. (omitted)

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고혈압환자의 치료순응도에 영향을 미치는 요인 (Factors Affecting Patients' Compliance with Antihypertensive Medication in a Rural Area)

  • 배상수;이인숙;김순미;우선옥;이영조;김병익;한달성;이석구
    • 보건행정학회지
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    • 제4권1호
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    • pp.25-48
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    • 1994
  • Noncompliance with treatment is a serious problem in the management of hypertension. We explored self-reported medication taking compliance behavior of 194 high blood pressure patients using modified health belief model hypothesizing interaction between model components. Data were collected from patients resistered hwachon community hypertension control program during February, 1993. Bivariate analysis showed perceived severity of complication, present symptom experience(p<0.05), perceived severity of hypertension and education leve(p<0.01) were significantly related to treatment experience. Logit analysis revealed that perceived severity of hypertension, perceived benefits of treatment, perceived barriers to treatment and interaction term between perceived severity of hypertension and perceived benefits of treatment contributed treatment experience. Health education from mass media was siglificantly related to continuity of treatment. We also concluded that the inclusion of interaction effects between health belief model components and the use of patient group as analysis unit lead to better study results.

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Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant Pocket

  • Peyton Terry;Kenneth Bilchick;Chris A. Campbell
    • Archives of Plastic Surgery
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    • 제50권2호
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    • pp.156-159
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    • 2023
  • Breast implants whether used for cosmetic or reconstructive purposes can be placed in pockets either above or below the pectoralis major muscle, depending on clinical circumstances such as subcutaneous tissue volume, history of radiation, and patient preference. Likewise, cardiac implantable electronic devices (CIEDs) can be placed above or below the pectoralis major muscle. When a patient has both devices, knowledge of the pocket location is important for procedural planning and for durability of device placement and performance. Here, we report a patient who previously failed subcutaneous CIED placement due to incision manipulation with prior threatened device exposure requiring plane change to subpectoral pocket. Her course was complicated by submuscular migration of the CIED into her breast implant periprosthetic pocket. With subcutaneous plane change being inadvisable due to patient noncompliance, soft tissue support of subpectoral CIED placement with an acellular biologic matrix (ABM) was performed. Similar to soft tissue support used for breast implants, submuscular CIED neo-pocket creation with ABM was performed with durable CIED device positioning confirmed at 9 months postprocedure.

산업보건연구에서의 통계학적 분석 (Statistical analyses in an occupational health study)

  • 백도명;최정근;손미아
    • 응용통계연구
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    • 제6권2호
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    • pp.201-215
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    • 1993
  • 산업보건연구의 통계학적 분석은 작업환경측정에 대한 평가방법과 산업보건에 특유한 혼란 변수의 통제 등 건강상태와의 연관성을 분석하는 평가방법에 있어 다른 보건통계분야와 구 별되는 특성을 지니고 있다. 본 논문에서는 주물공장 근로자들의 호흡기 건강상태와 작업환 경에서 폭로되는 유해물질에 대한 조사를 통하여 산업보건연구에 사용되는 통계학적 분석에 대한 기술을 하였다. 조사된 환경측정결과의 일부는 허용폭로기준을 초과하고 있었는 바, 폭 로기준의 준수여부를 판정하기 위하여 작업환경측정결과와 그들의 대수변환치들로부터 얻은 산술평균과 대수평균들이 폭로기준과 다른지에 대한 t-검정을 실시하였다. 환경측정을 비롯 한 위험요인들과 그들로 인한 건강상태와의 관계 분석을 위해, 범주적 건강측정 변수인 경 우에는 $\chi$-square 검정과 다변량 logistic분석을 시행하였고, 연속적 변수인 경우에는 다 변량 회귀분석을 시행하였다. 작업환경내의 오염물질의 농도는 그 측정장소와 측정시점에 따라 매우 가변적이다. 이러한 작업환경의 측정결과를 평가하는데 있어 사용될 수 있는 서 로 다른 여러 지수들의 장단점과 가변적 측정결과들로 인한 오차를 보정할 수 있는 통계학 적 분석방법에 대한 논의를 하였다. 본 조사의 폐기능검사 결과는 직업에서 폭로되는 정도 와 아무 연관성을 보이고 있지 않은 바, 이는 “건강한 그로자 효과”에 기인한 것으로 추정되고 있다.

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$PGE_1$ 요도좌제의 제조 및 평가 (Preparation and Evaluation of $PGE_1$ Urethral Suppositories)

  • 박소민;최명신;한규원;김길수
    • 약학회지
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    • 제49권4호
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    • pp.260-267
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    • 2005
  • [ $PGE_1$ ] is an endogenous substance of potent vasodialator as well as inhibitor of platelet aggregation. It has been used therapeutically in peripheral arterial occlusive disease and impotence. Intracavernous injection of $PGE_1$ for erectile dysfunction has been established for several years as a treatment option for erectile dysfunction of diverse etiologies, but this mode of administration is limited by penile discomfort, pain at the injection site, inconvenience and noncompliance. As the matter of worse, the $\beta-hydroxy$ moiety of $PGE_1$ is extremely susceptible to dehydration in solution to give inactive $PGA_1$ and $PGB_1$. For the improvement of stability, rapid absorption at action site and the convenience of application, $PGE_1$ was formulated as urethral suppositories of three types of formulations, such as PEG, witepsol, and the mixture of PEG and witepsol. The stability test of $PGE_1$ and the release test in urinary suppositories were performed. Futhermore, the effect of enhancers and vehicle composition on the penetration of $PGE_1$ through excised rat skin was evaluated by permeability coefficient and enhancement ratio.

불법어업 단속제도에 관한 연구 (A Study on the Unlawful Fishery Control System)

  • 이종근
    • 수산해양교육연구
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    • 제22권3호
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    • pp.303-315
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    • 2010
  • The fisheries resource in waters under the jurisdiction of Korea is being endangered by unlawful fishery. The Korean government exerted great efforts to establish the public order of water, but the number of the exposed unlawful fishing violations has increased for last 10 years. The system to guide fisheries regulatory noncompliance of Korea is limited to the use of fishing guidance patrol boats. For strength of monitoring and surveillance systems, the government needs to phase in Vessel Monitoring System. But there are some studies for that. The defects of present monitoring practice can be drawn from the facts described above. The qualification of the fishery control official one of most important element of fishing control system, is defined as any officer who is charging on fishing. For clear law enforcement the qualification should require considerable experience and knowledge. Korean coast guards have problems on guiding unlawful fishing violations because of the absence of administrative authority by comparison with the fisheries guiding officer, who has both authorities on administration and jurisdiction. To draw some judicial problems this research presents a analysis on the fishing control system. The research suggests the improvements to compensate the defects.

중환자실 간호사의 중환자간호 실무표준 이행에 대한 조사 (ICU Nurses' Compliance with Standards for Critical Care Nursing Practice)

  • 이영희;정연이;김미순;김순희
    • 기본간호학회지
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    • 제17권4호
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    • pp.478-486
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    • 2010
  • Purpose: To explore nurses' compliance with standards for critical care nursing practice in intensive care units (ICUs) and to provide basic data for high quality of critical care nursing. Method: A total of 616 participants from 61 ICUs which are graded from 1 to 7 throughout the nation were surveyed. Data were collected from February 9 to February 27, 2009 using a questionnaire consisting of 58 questions including 50 nursing activities as indicators. Results: The rate of ICU nurses' compliance with standards for critical care nursing practice was high. As for individual standards, compliance with the standard of assessment was the highest, followed by implementation, diagnosis, and planning in that order. There were differences in compliance according to nurses' ICU experience, work place (unit), and ICU grade. A shortage of manpower was considered as a main cause for noncompliance. Conclusion: The present compliance rate with standards for critical care nursing practice by ICU nurses was identified. Therefore, compliance rate can be used to promote quality of critical care nursing and development of educational programs for ICU nurses.

걸음마기 아동의 순종행동에 관련된 변인들 : 아동의 성, 연령, 기질, 어머니의 양육태도 및 요구내용을 중심으로 (Variables related to Toddler's Compliance : Child's Gender, Age, Temperament, Mother's Parenting and the Content of Demands)

  • 박성연;신영아
    • 대한가정학회지
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    • 제45권6호
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    • pp.11-20
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    • 2007
  • The purpose of this study was to examine determine the relations relationship between the child's characteristics (i.e. temperament) and maternal behaviors (parenting and the content of demands) and the child's compliance. Data were gathered from 153 mothers of toddlers in Seoul, via questionnaires. The major principal results of this study were as follows: Neither gender nor age differences was found were observed in toddlers' compliance. Correlation analyses revealed significant relations relationships between both a child's emotionality and the mother's parenting, and a child's compliance. That is, in cases in which the child's emotional reactivity and the mother's authoritarian parenting were high, the child evidenced lower compliance, the child showed whereas the higher the mother's authoritative parenting were was, the higher compliance the child showed displayed. The hierarchical regressions analysis indicated that maternal demands on 'caring' was constituted the most significant variable to predict for the prediction of toddlers' compliance, and child activity level and maternal authoritative parenting behavior were also significant variables.

아동의 문제행동에 대한 어머니의 귀인과 행동반응의 관계 (A Study on the mother's attribution and behavioral reaction to behavior problem of child.)

  • 이은희
    • 대한가정학회지
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    • 제34권2호
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    • pp.31-42
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    • 1996
  • The purpose of this study was to examine the mother's perception on the concrete pattern of such behavior problems as noncompliance, jealousy, dependency, hyperactivity and stealing, by analyzing the difference between two cases of her own child and another mother's child relating to her attribution to the behavior problem of the child and the relationship between her attribution and behavioral reaction. This study was carried out by using 515 questionnaires answered by 1000 mothers of children of 7 kindergartens in Ulsan and Taegu, using Melissa Sweitzer's method (1986). The data was subjected to t-test, Pearson's correlation coefficient. T-test was applied to test the difference between two cases of her own child and another mother's child relating to her attribution to the behavior problem of the child and Person's correlation coefficient was estimated to test the relationship between her attribution and behavioral reaction. The result of this study is sumarized as follows : 1. It was shown that the mother's attribution to the behavior problem of the child is less serious when her child showed the behavior problem than when another child dose the problem while her attribution has an affective reaction to the behavior problem of the child. 2. The relationship between the mother's attribution and behavior reaction to the behavior problem of the child appeared variously in accordance with the attribution factor and behavior problem. Then the mother showed more attribution to stability while frequently ignoring the child.

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